论曰伤寒小便不通者。或因发汗过多。津液虚少。胃中干燥，或小肠有伏热，气道不宣。
皆令小便不通也。方论云，胃中干，则无小便，慎不可利，盖言汗后亡津液也，若下焦有热，
而小便不利，又当随证利之。
治伤寒后下焦热，小便不通。茯苓木通汤方
赤茯苓（去黑皮） 木通（锉） 车前子叶 滑石（各二两）
上四味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓空心温服。
治伤寒脉浮发热，渴欲饮水，小便不利者。猪苓汤方
猪苓（去黑皮） 赤茯苓（去黑皮） 泽泻 滑石（碎）
上四味，等分， 咀如麻豆大，每服五钱匕，水一盏半，煎至八分，去滓入阿胶末一钱
匕，温服日三。
治伤寒后小便赤涩。瞿麦汤方
瞿麦（一两用穗） 甘草（炙锉） 冬葵子 滑石（各二两） 石苇（去毛一两）
上五味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓食前温服。
治伤寒发汗后，小便不利，微热消渴者。五苓散方
猪苓（去黑皮） 白术 赤茯苓（去黑皮各三分） 桂（去粗皮半两） 泽泻（一两一
分）
上五味，捣罗为散，每服三钱匕，熟水调下。
治伤寒小便不通，腹胀。车前子汤方
车前子（三两）
上一味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓温服。
治伤寒小肠有伏热，状如热淋渗痛。滑石汤方
滑石（碎） 冬葵子 榆白皮（锉）
上三味，等分，粗捣筛，每服四钱匕，水一盏半，煎至八分，去滓食前温服。
治伤寒小便赤涩不通。葵子汤方
冬葵子 滑石（各二两） 朴硝 赤茯苓（去黑皮） 木通（锉各一两） 茅根（锉） 石
苇（去毛各一两半）
上七味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓食前温服。
治伤寒小肠不通，便如血淋。血余散方
乱发（灰二钱匕） 大麻根（切一两）
上二味，先将麻根以水一盏，煎至半盏，去滓下乱发灰，搅匀食前温服。
治伤寒小便赤涩、似淋，膀胱风热。桑白皮汤方
桑根白皮（锉） 冬葵子 滑石（各一两） 甘草（炙锉半两） 朴硝（一两半） 青
橘皮（去白切炒一分）
上六味，粗捣筛，每服五钱匕，水一盏半，葱白五寸切，煎至八分，去滓食前温服。
治伤寒小腹急痛，小便不利。鸡苏汤方
鸡苏（一握） 木通（锉） 石苇（去毛） 冬葵子 杏仁（汤浸去皮尖双仁炒） 滑
石（捣碎各一两） 生干地
上七味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓食前温服。
治伤寒后小便不通，脐腹痛，气胀攻上喘促。枳壳汤方
枳壳（去瓤麸炒） 滑石 大腹皮（锉各半两） 甘草炙（锉） 青橘皮（去白切炒） 络
石根 紫苏茎叶 朴硝 麦门冬（去心焙） 冬葵子（各三分） 前胡（去芦头） 赤芍药
（各一两）
上一十二味，粗捣筛，每服三钱匕，水一盏，葱白三寸切，煎至六分，去滓食前温服。
治伤寒热盛，小便不利。滑石散方
滑石（二钱捣罗为末） 葶苈子（半合纸上炒）
上二味，先将葶苈用水一盏，煎至半盏，去滓下滑石末调匀，食前顿服。
治伤寒壮热，肢节疼痛，大小便涩。柴胡散方
柴胡（去苗） 黄芩（去黑心） 栝蒌根 山栀子仁（各一两） 大黄（锉醋炒） 芒
硝（各一两半） 木香白藓
上九味，捣罗为细散，每服二钱匕，食前新汲水调下。
治伤寒小便出血。竹茹汤方
青竹茹 木通（锉各一两） 甘草（炙锉一分） 连翘 芦根锉 蒲黄（各半两）
上六味，粗捣筛，每服五钱匕，水一盏半，入灯心少许，生姜一枣大拍碎，煎至八分，
去滓食前温服。
治伤寒呕而发热，胸胁满，心下怔忪，小便不利。小柴胡去黄芩加茯苓汤方
柴胡（去苗二两） 赤茯苓（去黑皮一两） 人参 甘草（炙各三分） 半夏（六钱汤
洗七遍）
上五味， 咀如麻豆大，每服五钱匕，水一盏半，生姜大枣大拍碎，枣二枚劈破，煎至
八分，去滓温服日三。
治伤寒 发热，头项强痛，小便不利。桂枝去桂加茯苓白术汤方
芍药 赤茯苓（去黑皮） 白术（各一两半） 甘草（炙一两）
上四味， 咀如麻豆大，每服五钱匕，水一盏半，生姜一枣大拍碎，枣二枚劈破，煎至
八分，去滓温服。
治伤寒少阴证，小便不利。四逆加茯苓散方
甘草（炙） 枳实（去瓤麸炒） 柴胡（去苗） 芍药（各一两） 赤茯苓（去黑皮半
两）
上五味，捣罗为细散，每服二钱匕，米饮调下日三。
治伤寒时行，小腹胀满，小便不通。滑石汤方
滑石（二两） 葶苈子（微炒） 防己（各一两） 木香（半两）
上四味，粗捣筛，每服三钱匕，用水一盏，煎至三分，去滓空心温服，日晚再服。
治伤寒发汗后，腹下气满，小便不利。茯苓汤方
赤茯苓（去黑皮二两） 桂（去粗皮） 甘草（炙各一两）
上三味， 咀如麻豆大，每服五钱匕，水一盏半，入大枣二枚劈，煎至八分，去滓温服
日三。
Discourse states: In the context of Shanghan (Cold Damage disease), incomplete urination may occur due to excessive sweating, leading to a deficiency and scarcity of body fluids and dryness in the Stomach; or it may be caused by latent heat in the Small Intestine, obstructing the flow of Qi. All these conditions result in incomplete urination. The commentary on formulas states that if the Stomach is dry, urine production ceases, and diuretics should strictly be avoided, as this refers to fluid depletion after sweating. However, if there is heat in the Lower Jiao causing difficult urination, one should treat according to the specific syndrome using diuretic methods.
Fuling Mutong Tang (Poria and Akebia Decoction) for treating incomplete urination due to Lower Jiao heat after Shanghan:
Chifuling (Red Poria, *Poria cocos* with black skin removed), Mutong (Akebia Stem, *Akebiae Caulis*), Cheqianziye (Plantago Seed Leaf, *Plantaginis Semen*), Huashi (Talcum, *Talcum). Each in an amount of two liang.
The above four ingredients are coarsely crushed and sifted. Take five qianbi per dose, add one dan and a half sheng of water, decoct until eight parts remain, strain, and take warm on an empty stomach.
Zhuling Tang (Polyporus Decoction) for treating Shanghan with floating pulse, fever, thirst with desire to drink, and difficult urination:
Zhuling (Polyporus, *Polyporus umbellatus* with black skin removed), Chifuling (Red Poria, *Poria cocos* with black skin removed), Zexie (Alisma Rhizome, *Alismatis Rhizoma*), Huashi (Talcum, *Talcum, crushed).
The above four ingredients are used in equal proportions, crushed like hemp or soybean seeds. Take five qianbi per dose, add one dan and a half sheng of water, decoct until eight parts remain, strain, add one qianbi of Ejiao powder (Donkey-hide Gelatin, *Colla Corii Asini*), and take warm. Administer three times daily.
Qumai Tang (Dianthus Decoction) for treating red and涩 (astringent/difficult) urination after Shanghan:
Qumai (Dianthus Herb, *Dianthi Herba*, use the flower spikes, one liang), Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*, roasted and crushed), Dongkuizi (Malva Seed, *Malvae Semen*), Huashi (Talcum, *Talcum, each two liang), Shiwei (Pyrrosia Leaf, *Pyrrosiae Folium*, de-haired, one liang).
The above five ingredients are coarsely crushed and sifted. Take five qianbi per dose, add one dan and a half sheng of water, decoct until eight parts remain, strain, and take warm before meals.
Wuling San (Five-Ingredient Powder with Poria) for treating difficult urination, slight fever, and Xiao Ke (wasting-thirst/thirst with polydipsia) after sweating in Shanghan:
Zhuling (Polyporus, *Polyporus umbellatus* with black skin removed), Baizhu (Atractylodes Macrocephala Rhizome, *Atractylodis Macrocephalae Rhizoma*), Chifuling (Red Poria, *Poria cocos* with black skin removed, each three fen), Gui (Cinnamon Twig, *Cinnamomi Ramulus*, remove coarse bark, half liang), Zexie (Alisma Rhizome, *Alismatis Rhizoma*, one liang and one fen).
The above five ingredients are crushed, sieved into a powder. Take three qianbi per dose, mix with cooked water and ingest.
Cheqianzi Tang (Plantago Seed Decoction) for treating incomplete urination and abdominal distension in Shanghan:
Cheqianzi (Plantago Seed, *Plantaginis Semen*, three liang).
The above single ingredient is coarsely crushed and sifted. Take five qianbi per dose, add one dan and a half sheng of water, decoct until eight parts remain, strain, and take warm.
Huashi Tang (Talcum Decoction) for treating latent heat in the Small Intestine in Shanghan, presenting as Re Lin (Heat Strangury) with painful, dripping urination:
Huashi (Talcum, *Talcum, crushed), Dongkuizi (Malva Seed, *Malvae Semen*), Yubaipi (Ulmus White Bark, *Ulmi Cortex*).
The above three ingredients are used in equal proportions, coarsely crushed and sifted. Take four qianbi per dose, add one dan and a half sheng of water, decoct until eight parts remain, strain, and take warm before meals.
Kuizi Tang (Malva Seed Decoction) for treating red, astringent, and incomplete urination in Shanghan:
Dongkuizi (Malva Seed, *Malvae Semen*), Huashi (Talcum, *Talcum, each two liang), Piaoxiao (Mirabilite, *Natrii Sulfas*), Chifuling (Red Poria, *Poria cocos* with black skin removed), Mutong (Akebia Stem, *Akebiae Caulis*, crushed, each one liang), Maogen (Imperata Rhizome, *Imperatae Rhizoma*, crushed), Shiwei (Pyrrosia Leaf, *Pyrrosiae Folium*, de-haired, each one and a half liang).
The above seven ingredients are coarsely crushed and sifted. Take three qianbi per dose, add one sheng of water, decoct until seven parts remain, strain, and take warm before meals.
Xuyusan (Hair Ash Powder) for treating incomplete urination in the Small Intestine in Shanghan, resembling Xue Lin (Blood Strangury):
Luanfa Hui (Ash of Disordered Hair, *Capillus Humanis Cinis*, two qianbi), Dama Gen (Hemp Root, *Cannabis Radix*, cut, one liang).
The above two ingredients: First, decoct the Hemp Root in one sheng of water until half a sheng remains, strain, add the Ash of Disordered Hair, stir well, and take warm before meals.
Sangbaipi Tang (Mulberry Root Bark Decoction) for treating red, astringent, strangury-like urination and Bladder Wind-Heat in Shanghan:
Sangenbaipi (Mulberry Root Bark, *Mori Radicis Cortex*, crushed), Dongkuizi (Malva Seed, *Malvae Semen*), Huashi (Talcum, *Talcum, each one liang), Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*, roasted and crushed, half liang), Piaoxiao (Mirabilite, *Natrii Sulfas*, one and a half liang), Qingju Pi (Green Tangerine Peel, *Citri Reticulatae Pericarpium Viride*, remove white pith, slice, stir-fry, one fen).
The above six ingredients are coarsely crushed and sifted. Take five qianbi per dose, add one dan and a half sheng of water, add five cun of Congbai (Scallion White, *Allii Fistulosi Bulbus*) cut into segments, decoct until eight parts remain, strain, and take warm before meals.
Jisu Tang (Elsholtzia Decoction) for treating urgent pain in the lower abdomen and difficult urination in Shanghan:
Jisu (Elsholtzia Herb, *Schizonepetae Herba* or *Elsholtziae Herba*, one handful), Mutong (Akebia Stem, *Akebiae Caulis*, crushed), Shiwei (Pyrrosia Leaf, *Pyrrosiae Folium*, de-haired), Dongkuizi (Malva Seed, *Malvae Semen*), Xingren (Apricot Seed, *Pruni Semen*, soaked in hot water, remove skin and tips, double-kernel, stir-fried), Huashi (Talcum, *Talcum, crushed, each one liang), Shenggan Dihuang (Raw Dried Rehmannia Root, *Rehmanniae Radix*).
The above seven ingredients are coarsely crushed and sifted. Take five qianbi per dose, add one dan and a half sheng of water, decoct until eight parts remain, strain, and take warm before meals.
Zhiqiao Tang (Bitter Orange Decoction) for treating incomplete urination, umbilical abdominal pain, Qi distension attacking upwards causing panting after Shanghan:
Zhiqiao (Bitter Orange Fruit, *Aurantii Fructus*, remove pulp, bran-roasted), Huashi (Talcum, *Talcum*), Dafupi (Areca Peel, *Arecae Pericarpium*, crushed, each half liang), Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*, roasted and crushed), Qingju Pi (Green Tangerine Peel, *Citri Reticulatae Pericarpium Viride*, remove white pith, slice, stir-fry), Luoshigen (Trachelospermum Root, *Trachelospermi Radix*), Zisu Jingye (Perilla Stem and Leaf, *Perillae Caulis et Folium*), Piaoxiao (Mirabilite, *Natrii Sulfas*), Maimendong (Ophiopogon Tuber, *Ophiopogonis Tuber*, remove heart, baked), Dongkuizi (Malva Seed, *Malvae Semen*, each three fen), Qianhu (Peucedanum Root, *Peucedani Radix*, remove rhizome head), Chi Shaoyao (Red Peony Root, *Paeoniae Radix Rubra*, each one liang).
The above twelve ingredients are coarsely crushed and sifted. Take three qianbi per dose, add one sheng of water, add three cun of Congbai (Scallion White, *Allii Fistulosi Bulbus*) cut into segments, decoct until six parts remain, strain, and take warm before meals.
Huashi San (Talcum Powder) for treating severe heat and difficult urination in Shanghan:
Huashi (Talcum, *Talcum, two qianbi, crushed and sieved into powder), Tinglizi (Descurainia Seed, *Descurainiae Semen* or *Lepidii Semen*, half he, stir-fried on paper).
The above two ingredients: First, decoct Tinglizi in one sheng of water until half a sheng remains, strain, add the Huashi powder, mix well, and take all at once before meals.
Chaihu San (Bupleurum Powder) for treating high fever, limb and joint pain, and astringent urination and defecation in Shanghan:
Chaihu (Bupleurum Root, *Bupleuri Radix*, remove seedlings), Huangqin (Scutellaria Root, *Scutellariae Radix*, remove black heart), Gualougen (Trichosanthes Root, *Trichosanthis Radix*), Shanzhiziren (Gardenia Seed, *Gardeniae Fructus*, each one liang), Dahuang (Rhubarb Root, *Rhei Radix et Rhizoma*, crushed, vinegar-fried), Mangxiao (Mirabilite, *Natrii Sulfas*, each one and a half liang), Muxiang (Costus Root, *Aucklandiae Radix*), Baixianpi (Dictamnus Bark, *Dictamni Cortex*).
The above nine ingredients are crushed and sieved into a fine powder. Take two qianbi per dose, mix with fresh drawn water and ingest before meals.
Zhuru Tang (Bamboo Shavings Decoction) for treating hematuria in Shanghan:
Qingzhuru (Green Bamboo Shavings, *Phyllostachys Nigra Caulis*), Mutong (Akebia Stem, *Akebiae Caulis*, crushed, each one liang), Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*, roasted and crushed, one fen), Lianqiao (Forsythia Fruit, *Forsythiae Fructus*), Lugencuo (Reed Rhizome, *Phragmitis Rhizoma*, crushed), Puhuang (Lygodium Spore, *Lygodii Spora, each half liang).
The above six ingredients are coarsely crushed and sifted. Take five qianbi per dose, add one dan and a half sheng of water, add a small amount of Dengxincao (Juncus Pith, *Junci Medulla*), ginger the size of a jujube smashed, decoct until eight parts remain, strain, and take warm before meals.
Xiaochaihu Qu Huangqin Jia Fuling Tang (Minor Bupleurum Decoction minus Scutellaria plus Poria) for treating vomiting with fever, chest and hypochondriac fullness, palpitations in the epigastrium, and difficult urination in Shanghan:
Chaihu (Bupleurum Root, *Bupleuri Radix*, remove seedlings, two liang), Chifuling (Red Poria, *Poria cocos* with black skin removed, one liang), Renshen (Ginseng Root, *Ginseng Radix et Rhizoma*), Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*, roasted, each three fen), Banxia (Pinellia Tuber, *Pinelliae Rhizoma*, six qianbi, washed seven times in water).
The above five ingredients are crushed like hemp or soybean seeds. Take five qianbi per dose, add one dan and a half sheng of water, add ginger the size of a jujube smashed, two jujubes split open, decoct until eight parts remain, strain, and take warm. Administer three times daily.
Guizhi Qu Gui Jia Fuling Baizhu Tang (Cinnamon Twig Decoction minus Cinnamon plus Poria and Atractylodes) for treating fever, stiff neck and headache, and difficult urination in Shanghan:
Shaoyao (Peony Root, *Paeoniae Radix Alba* or *Rubra*), Chifuling (Red Poria, *Poria cocos* with black skin removed), Baizhu (Atractylodes Macrocephala Rhizome, *Atractylodis Macrocephalae Rhizoma*, each one and a half liang), Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*, roasted, one liang).
The above four ingredients are crushed like hemp or soybean seeds. Take five qianbi per dose, add one dan and a half sheng of water, add ginger the size of a jujube smashed, two jujubes split open, decoct until eight parts remain, strain, and take warm.
Sini Jia Fuling San (Four-Reversal Powder plus Poria) for treating difficult urination in Shaoyin syndrome of Shanghan:
Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*, roasted), Zhishi (Immature Bitter Orange Fruit, *Aurantii Fructus Immaturus*, remove pulp, bran-roasted), Chaihu (Bupleurum Root, *Bupleuri Radix*, remove seedlings), Shaoyao (Peony Root, *Paeoniae Radix*, each one liang), Chifuling (Red Poria, *Poria cocos* with black skin removed, half liang).
The above five ingredients are crushed and sieved into a fine powder. Take two qianbi per dose, mix with rice water and ingest. Administer three times daily.
Huashi Tang (Talcum Decoction) for treating abdominal distension and incomplete urination in epidemic Shanghan:
Huashi (Talcum, *Talcum, two liang), Tinglizi (Descurainia Seed, *Descurainiae Semen* or *Lepidii Semen*, slightly stir-fried), Fangji (Stephania Root, *Stephaniae Tetrandrae Radix*, each one liang), Muxiang (Costus Root, *Aucklandiae Radix*, half liang).
The above four ingredients are coarsely crushed and sifted. Take three qianbi per dose, add one sheng of water, decoct until three parts remain, strain, and take warm on an empty stomach. Take again in the evening.
Fuling Tang (Poria Decoction) for treating lower abdominal Qi fullness and difficult urination after sweating in Shanghan:
Chifuling (Red Poria, *Poria cocos* with black skin removed, two liang), Gui (Cinnamon Twig, *Cinnamomi Ramulus*, remove coarse bark), Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*, roasted, each one liang).
The above three ingredients are crushed like hemp or soybean seeds. Take five qianbi per dose, add one dan and a half sheng of water, add two jujubes split open, decoct until eight parts remain, strain, and take warm. Administer three times daily.